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Abstract
Introduction: Evaluation of central venous oxygen saturation (ScvO₂) has been proposed as a prognostic indicator in several patients including sepsis, polytrauma, after cardiac surgery... Many study show the good value of ScvO₂ in monitoring haemodynamic and prognostic of traumatic brain injury (TBI) patients. In Vietnam, any studies about ScvO₂ in TBI patients.
Objective: Evaluate the value of ScvO₂ of TBI patients during the first 7 days and the correlation between ScvO2 and cardiac output (CO).
Methods: 200 TBI patients from 7/2015 to 5/2016. Descriptive cross-sectional study.
Results: ScvO₂ of patients with Glassgow 3-8 was 55.38 ± 12.27, Scv02 of patients with Glassgow >8 was 71.27 ± 7.43, CO of patients with ScvO₂ < 60% was 6.27±3.00, CO of patients with ScvO₂ ≥ 60% was 7.96 ± 3.21.
Conclusions: There was a positive correation between ScvO₂ and CO. ScvO2 is a factor to evaluate the severity and mortality ò TBI patients.
References
Alessandro Di Filippo et al. (2009), "Low central venous saturation predicts poor outcome in patients with brain injury after major trauma: a prospective observational study", Scandinavian Journal of trauma, Resuscitation and Emergency Medicine, 17:23.
Berridge JC (1992), "Influence of cardiac output on the correlation between mixed venous and central venous oxygen saturation, Br J Anaesth,
Keith R. Walley (2011), "Use of Central Venous Oxygen Saturation to Guide Therapy", Am J Respir Crit Care Med, Vol 184. pp 514-520.
M.N. Ramakrishna, Devi Prasad Hegde et al (2006), "Correlation of mixed venous and central venous oxygen saturation and its relation to cardiac index", Indian J Crit Care Med, Vol 10 Issue 4.
| Published | 25-12-2018 | |
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| Issue | No. 52 (2018) | |
| Section | Original article | |
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| Keywords | ScvO2, Cung lượng tim (CO), Chấn thương sọ não ScvO2, Cardiac output (CO), traumatic brain injury |
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